ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hokken, R. B.
Right arrow Articles by Bos, E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hokken, R. B.
Right arrow Articles by Bos, E.

Ann Thorac Surg 1997;63:1713-1717
© 1997 The Society of Thoracic Surgeons

Original Article: Cardiovascular

Clinical Outcome and Left Ventricular Function After Pulmonary Autograft Implantation in Children

Raymond B. Hokken, MD, Adri H. Cromme-Dijkhuis, MD, PhD, Ad J. J. C. Bogers, MD, PhD, Silja E. C. Spitaels, MD, PhD, Maarten Witsenburg, MD, PhD, John Hess, MD, PhD, Egbert Bos, MD, PhD

Departments of Cardiopulmonary Surgery, Pediatric Cardiology, and Cardiology, University Hospital Rotterdam, Rotterdam, the Netherlands

Accepted for publication December 24, 1996.

Background. Aortic root replacement with a pulmonary autograft is an alternative treatment for children with aortic valve or root disease, or both.

Methods. Twenty-six patients (18 boys and 8 girls) with a mean age of 10.9 years (range, 0.3 to 16.9 years) underwent this procedures in a 7-year period. The mean follow-up period was 3.2 years (range, 0.2 to 7.5 years).

Results. During follow-up 3 patients died and one autograft was replaced with a mechanical valve. The actuarial survival and actuarial event-free survival rates were 87% and 79%, respectively, at both 5 and 7 years. None of the surviving patients had complaints, and all have done well and are living normal lives. Electrocardiographic signs of myocardial ischemia and left ventricular hypertrophy were not present. Echocardiography showed autograft valve regurgitation to be absent or trivial (n = 17) or mild (n = 5). Stenosis was not present. Increasing autograft annulus diameters were noted during follow-up, but this was not related to the severity of autograft regurgitation. Left ventricular dimensions and function were within normal limits later than 1 year after the operation. Only 2 patients had a moderate pulmonary stenosis without right ventricular hypertrophy.

Conclusions. The surgical results, clinical outcome, valve function, and left ventricular function in our patients have been good. This procedure is recommended as a method of aortic valve replacement in children.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
J. J.M. Takkenberg, A. P. Kappetein, L. A. van Herwerden, M. Witsenburg, L. V. Osch-Gevers, and A. J.J.C. Bogers
Pediatric Autograft Aortic Root Replacement: A Prospective Follow-Up Study
Ann. Thorac. Surg., November 1, 2005; 80(5): 1628 - 1633.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A.J.J.C. Bogers, J.J.M. Takkenberg, A.P. Kappetein, P.L. de Jong, A.H. Cromme-Dijkhuis, and M. Witsenburg
Is there a place for pediatric valvotomy in the autograft era?
Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 89 - 94.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Laudito, M. M. Brook, S. Suleman, M. S. Bleiweis, L. D. Thompson, F. L. Hanley, and V. M. Reddy
The Ross procedure in children and young adults: A word of caution
J. Thorac. Cardiovasc. Surg., July 1, 2001; 122(1): 147 - 153.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
B. S. Marino, G. Wernovsky, J. Rychik, J. R. Bockoven, R. I. Godinez, and T. L. Spray
Early Results of the Ross Procedure in Simple and Complex Left Heart Disease
Circulation, November 9, 1999; 100(90002): II-162 - 166.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. Niwaya, R. C. Elkins, C. J. Knott-Craig, K. Santangelo, M. B. Cannon, and M. M. Lane
Normalization of left ventricular dimensions after ross operation with aortic annular reduction
Ann. Thorac. Surg., September 1, 1999; 68(3): 812 - 818.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. M. Lupinetti, B. W. Duncan, A. M. Scifres, C. T. Fearneyhough, K. Kilian, G. L. Rosenthal, F. Cecchin, T. K. Jones, and S. P. Herndon
Intermediate-term results in pediatric aortic valve replacement
Ann. Thorac. Surg., August 1, 1999; 68(2): 521 - 525.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. T. Kouchoukos
Aortic allografts and pulmonary autografts for replacement of the aortic valve and aortic root
Ann. Thorac. Surg., June 1, 1999; 67(6): 1846 - 1848.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J.R. Bockoven, G. Wernovsky, V. L. Vetter, T. S. Wieand, T. L. Spray, and L. A. Rhodes
Perioperative conduction and rhythm disturbances after the Ross procedure in young patients
Ann. Thorac. Surg., October 1, 1998; 66(4): 1383 - 1388.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1997 by The Society of Thoracic Surgeons.